In a case of suspected abuse with an infant presenting with bruises, what is the most ethical treatment?

In cases where abuse is suspected, especially in infants presenting with bruises, the most ethical approach involves admitting the child for further evaluation. This allows healthcare professionals to conduct a comprehensive assessment that includes obtaining a detailed history, a thorough physical examination, and possibly additional diagnostic tests.

Admittance provides a structured environment where multidisciplinary teams can collaborate to determine the nature and cause of the injuries while ensuring the child’s safety. It allows for the observation of the infant over time, which can be crucial in identifying the presence of other signs of abuse that may not be immediately apparent. Furthermore, this approach helps to build a case for appropriate interventions and ensures that the child receives any necessary medical care without the potential pressure of immediate discharge.

In addition to the clinical assessment, admitting the infant also facilitates timely communication and collaboration with child protective services if abuse is confirmed or strongly suspected. This ensures that the infant is safeguarded against future harm, aligning medical actions with ethical obligations to protect vulnerable children.